SEC Form 3 · accession 0001767639-19-000003
National Vision Holdings, Inc. · EYE
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jared Brandman
Officer — SVP, GC and Secretary
Period of report
Feb 13, 2019
Accepted (ET)
Feb 22, 2019 · 4:48 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001710155
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 4,726 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $15.74 | holding | — | — | — | — | Aug 14, 2027 | Common Stock | 58,830 | — | D |
Explanation of responses
- F1These shares include 226 shares that were acquired pursuant to the Company's Associate Stock Purchase Plan, which acquisitions are exempt from Section 16.
- F2Of these 58,830 stock options, 26,281 are vested and the remaining 32,549 will vest in four equal annual installments on August 14, 2019, 2020, 2021 and 2022. An additional 22,885 stock options which remain subject to liquidity-event performance-based vesting conditions are not included in the table above.
Remarks
Exhibit List: Exhibit 24 - Power of Attorney